摘要
目的探讨损伤控制骨科理论(DCO)在胸腰椎损伤合并四肢骨折治疗中的临床应用价值。方法回顾性分析我院2014-01-2015-12救治的70例胸腰椎损伤合并四肢骨折患者的临床资料,将采用早期全面治疗原则(ETC)救治的31例患者作为对照组,采用DCO理念救治的39例患者作为研究组,观察对比两组的临床治疗效果。结果研究组生存率为93.55%,明显优于对照组的74.19%(P<0.05);研究组手术时间、术中出血量、术中输血量、住院时间等数据均明显低于对照组(P<0.05);研究组术后并发症发生率为12.82%,明显低于对照组的38.71%(P<0.05)。结论将DCO理论应用于胸腰椎损伤合并四肢骨折患者治疗中,较传统治疗方法效果显著,可有效提高其生存率,减少并发症,促进其骨折早日恢复,有良好的应用价值。
Objective To discuss the application value of damage control orthopadeics （DCO） in the treatment of thoracic and lumbar spine injury combined with extremity fractures. Methods The clinical data of 70 patients with thoracic and lumbar spine injury combined with extremity fractures in our hospital from January 2014 to December 2015 were retrospectively analyzed. Among them, 31 cases in the control group were treated with early comprehensive treatment principle （ETC）, and the other 39 cases in the study group were treated with DCO. The clinical treatment effect in the two groups were observed and compared. Results The survival rate in the study group was 93.55%, which was obviously higher than 74.19% in the control group （P〈O.05）.The operation time, intraoperative blood loss, intraoperative blood transflasion, hospital stay in the study group were obviously lower than those in the control group（P〈0.05）. The incidence rate of complications in the study gYoup was 12.82%, which was obviously lower than 38.71% in the control group （P〈0.05）. Conclusion The application of DCO in the treatment of patients with thoracic and lumbar spine injury combined with extremity fractures has higher effect compared with the traditional treatment method, which can effectively improve the survival rate, reduce complications and promote the early recovery of fracture, and it has good application value in clinical practice.
作者
付微平
许建民
FU Wei-ping XU Jian-min.(The Ninth Division Hospital of Xinjiang Production anti Construction Corps, Taeheng, 834601, China.)
出处
《颈腰痛杂志》
2017年第4期350-353,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
损伤控制
胸椎
腰椎
脊柱损伤
四肢骨折
damage control
thoracic vertebrae
lumbar vertebrae
spinal injuries
extremity fractures
